Sean doesn't consult family or friends before making an impulsive life change. A morose Annie makes a stop in New York with a disturbing medical condition. Mike is offered advice from Christian on how to satisfy Kimber and a new patient recognizes Teddy from her past.

Matt's recent crime spree begins to catch up with him as Julia returns from New York to help him recover from his surgery. Meanwhile, Sean receives devistating news about his marriage, and a patient suffers from separation anxiety.

Erica gets married and threatens to try to win custody of Annie and Connor. This leads Sean and Julia to put forward a happy front in order to stop her custody efforts. Meanwhile, Christian bonds with a patient, and Mike tells Kimber about his plans.

Christian's debt begins to grow, leading him to deception in order to try to get out of it. Meanwhile, an unexpected visitor brings out Christian's insecurities, but elates Sean; and Christian bonds witha patient about to be adopted.

Sean and Christian are given an award from their alma mater, leading Sean to reminise about his years in college. Meanwhile, a self-mutilating patient comes to McNamara/Troy for reconstructive surgery.

Following a failed suicide attempt, a new patient seeks facial reconstructive surgery. Christian tries a risky maneuver with Kimber to heighten their marital passion. Sean performs pro-bono surgery with a charitable surgeon and former college friend in an attempt to quell his guilty conscious.

Christian has a crisis of conscience when Kimber's mother Brandy visits Los Angeles. Complications arise as Sean prepares for his trip to Africa. A patient requires multiple cosmetic procedures after suffering an attack by a wild animal.

The teenage daughter of Escobar Gallardo seeks out Sean and Christian for answers about her late father, stirring tremendous guilt within Sean. A seemingly common cosmetic procedure for a struggling actress leads to chaos.x

Julia visits Sean and Christian in Los Angeles to share life-changing news -- and rejects romantic advances from both men. A great love from Matt's past who has caused immeasurable family chaos turns up as Matt prepares to marry Ramona. Liz reveals that she's happily pregnant.